HomeMy WebLinkAbout434 E. 5th Street Address:
434 E 5t Street
PREPARED 6/23/15, 9:06:19 INSPECTION TICKET PA�E 2
CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 6/23/lS
------------------------------------------------------------------------------------------------
ADDRESS . : 434 E 5TH ST SUBDIV:
CONTRACTOR : PHONE
OWNER LANGMACK, GREG V & KELLY J PHONE
PARCEL 06-30-00-0-1-9800-0000-
APPL NUMBER: 15-00000331 INSPECTION ONLY
------------------------------------------------------------------------------------------------
PERMIT: BNOP 00 BUILDING PERMIT - NO PR FEE
REQUESTED INSP DESCRIPTION
TYP/SQ * COMPLETED RESULT 'RESULTS/COMMENTS
------------------------------------------------------------------------------------------------
BL99 01 4/14/15 JLL BLDG FINAL
4/14/15 DA April 14, 2015 8:34:01 AM jlierly.
after 3pm 452-5S89/775 0799
April 14, 2015 4:S3:31 PM jlierly.
adress numbers on front of structure/smoke detectors need to
be interconnected/jll
BL99 02 6/23/15 BLDG FINAL
June 23, 2015 9:09:42 AM jlierly.
452-5589
-----------------------#- ---------- COMMENTS AND NOTES --------------------------------------
CIO
CITY OF PORT ANGELES
DEPARTMENT OF COMMUNITY & ECONOMIC DEVELOPMENT- BUILDING DIVISION "N"
321 EAST 5TH STREET, PORT ANGELES, WA 98362
Application Number . . . . . 15-00000331 Date 4/03/15
Application pin number . . . 630605
Property Address . . . . . . 434 E 5TH ST
ASSESSOR PARCEL NUMBER: 06-30-00-0-1-9800-0000- REPORT SALES TAX
Application type description INSPECTION ONLY on your state excise tax form
Subdivision Name . . . . . .
Property Use . . . . . . . . to the City of Port Angeles
Property Zoning . . . . . . . RESIDENTIAL HIGH DENSITY (Location Code 0502)
Application valuation . . . . 0
---------------------------------------------------------------------------- -
Application desc
FINAL INSPECT ONLY
----------------------------------------------------------------------------
Owner Contractor
------------------------ ------------------------
LANGMACK, GREG V & KELLY J OWNER
434 E 5TH ST
PORT ANGELES WA 98362
----------------------------------------------------------------------------
Permit . . . . . . BUILDING PERMIT - NO PR FEE
Additional desc . . FINAL INSECTION ONLY
Permit Fee . . . . 50.00 Plan Check Fee .00
Issue Date . . . . 4/03/15 Valuation . . . . 0
Expiration Date 9/30/15
Qty Unit Charge Per Extension
BASE FEE 50.00
----------------------------------------------------------------------------
Fee summary Charged . Paid Credited Due
----------------- ---------- ---------- ---------- ----------
Permit Fee Total 50.00 50.00 . .00 .00
Plan Check Total .00 .00 .00 .00
Grand Total 50.00 50.00 .00 .00
Separate Permits are required forelectrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes
null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned
for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the
last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. Ail provisions
of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does
not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of
construction.
,-1103 (e L,
r'Z rVI 01
Date Print Name Signature of Contractor or Authorized Agent Sign/ture of 0 r(if owner is builder)
T:Forms/Building Division/Building Permit
BUILDING PERMIT INSPECTION RECORD
— PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS—
Building Inspections 417-4815 Electrical Inspections 417-4735
Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886
IT IS UNLAWFUL TO COVER, INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED.
POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE.
Inspection Type Date Accepted By Comments
FOUNDATION:
Footings
Stemwall
Foundation Drainage/Downspouts
Piers
Post Holes(Pole Bldgs.)
PLUMBING:
Under Floor/Slab
Rough-In
Water Line(Meter to Bldg)
Gas Line
Back Flow/Water FINAL Date Accepted by
AIR SEAL:
Walls
Ceiling
FRAMING:
Joists/Girders/Under Floor
Shear Wall/Hold Downs
Walls/Roof/Ceiling
Drywall(Interior Braced Panel Only)
-f-Bar
INSULATION:
Slab
Wall/Floor I Ceiling
MECHANICAL:
Heat Pump/Furnace/FAU/Ducts
Rough-in
Gas Line
Wood Stove/Pellet/Chimney
Commercial Hood/Ducts FINAL Date Accepted by
MANUFACTURED HOMES:
Footing/Slab
Blocking&Hold Downs
Skirting
PLANNING DEPT. Separate Permit#s SEPA:
Parking/Lighting ESA:
Landscaping ISHORELINE:
FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY1 USE
Inspection Type Date Accepted By
Electrical 417-4735
Construction- R.W. PW /Engineering 417-4831
Fire 417-4653
1 Planning 417-4750 1
I Building 417-4815
T:Forms/Building Division/Building Permit
-49
THE: R
For City Use
CITY OF
P-
LES
W. A S H I r� G-T 0 N. U . S. Permit# 15-
Date Received: L4 1?t, I C�
321 E 51h Street Date Approved I
Port Angeles,WA 9836
P: 360-417-4817 F:360-417-4711
Email:Vermits(@cityofpa.us
BUILDING PERM41T A, PLICATION
Proj ect,Address: 6 J5 a/,e e f
Phone:
frimaDL Contact: (7 ee- Email:
Name Phone --J
- 19 /-1 . 0-7 41 c?
Property -mailing Address' Email
Owner d 'I
City State Zip
F&I , A- 0) 0 te� �A-/ 4)F
Name '9,7'Ve �-eA-IWM Pho'ne 3�0 to q4
Contractor Address Email
Information City State
4e W A
rcontractors License# Ex Date:
Legal Description: Zoning: Tax Parcel # Project Value: (materials and labor)
66300oollft00000 $ 4500 1 .,
Residential Commercial El Industrial 11 Public El
Permit Demolition D Fire El Repair 11 Reroof(tear off/lay over) D
Classification For the following, fill out both pages of permit applicatiom
(Check NewConstruction El ExteriorRemodel El Addition El Tenant Improvement 11
appropriate) IMechanical 11 Plumbing Other 1:1
Fire Sprinkler System? [fr—riggia—tion System? athroorns Proposed Bedrooms
Yes 13 N o El Yes 13 No 14
Project Description 6(Ar'pr Q/1 P4 f,
Is project in a Flood Zone: Xes El No13 Flood Zone Type:
If in a Flood Zone, what is the value of the structure before proposed improvement? $
1 have read and completed the application and know it to be true and correct. I am authorized to apply for
this permit and understand that it is my responsibility to determine what permits are required and to
obtain permits prior'to work. I understand that plan review fees are not refundable after review has
occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is
issued. I understand that if the permit is not picked up/issued within i8o days of submittal,the application
will be considered abandoned and the fees will be forfeited.
Date Vj�//67- Print Name Signat re
f /
Residential Structures
Existing Proposed Construction For Office Use
Area Descriptions (SQ FT) Floor area Floor area $Value new
area
Basement
First Floor
Second Floor
Covered Deck/Porch/Entry
Deck (over 30" or 2 nd floor)
Garage
Carport
Other(describe)
Area Totals
Corn�ercial Structures
Construction For Office Use
Area Descriptions(SQ FT) Existing Proposed $Value new
Floor area Floor area Area
Existing Structure (s)
Proposed Addition
Tenant Improvement?
OtIfer work(describe)
Siie Area Totals
Lot/Site Coverage Calculations
Lot Size (sq ft) Lot Coverage(sq ft) %Lot Coverage (Total lot cov-lot size) Max Bldg Height
Site Coverage (Sq Ft of all impervious) %of Site Coverage (total site cov-- lot size)
Mechanical Fixtures
Indicate how many of each type of fixture to.be installed or relocated as part of this project.
Air Handler I Size: # Haz/Non-Haz Piping Outlets:
Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) #
# Heating/Cooling appliance #
Boiler/Compressor —[�� repair/alteration
Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas #
portable) Fireplace/Gas Stove/Gas Cook Stove/Misc.
Fuel Gas Piping #of Outlets: Ventilation Fan, single duct #
Furnace/Heat Pump/ Size: # Ventilation System #
Forced Air Unit I I I -
Plumbing Fixtures
Indicate how many of each type of fixture to be installed or relocated
Plumbing Traps # Fuel gas piping #of Outlets:
Water Heater # Medical gas piping #of Outlets:
Water Line # Plumbing Vent piping #
Sewer Line # Industrial waste pretreatment --�Size
interceptor(Grease Trap)
Other(describe):
T:\BUILDING\APPLICATION FORMS\Current BPApplicaticm\Building Permit 4-17-13.docx